ALABAMA EAR, NOSE & THROAT SPECIALISTS, LLC (NPI# 1023421468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023421468 |
| Entity Type | Organization |
| Organization Name | ALABAMA EAR, NOSE & THROAT SPECIALISTS, LLC |
| Practice Address |
302 Merchants Walk Suite 100 Tuscaloosa AL 35406-2290 |
| Practice Telephone | 2055239300 |
| Practice Fax Number | 2055239301 |
| Mailing Telephone | 2055239300 |
| Mailing Fax Number | 2055239301 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-09-03 |
| Authorized Official Name | CRAIG M BENOIT (PARTNER) |
| Authorized Official Telephone | 2055239300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
26424 | AL | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 26424 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 161536 | 05 |
| Street Address |
302 MERCHANTS WALK SUITE 100 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35406-2290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477528149 | Craig Michael Benoit | Otolaryngology | 302 Merchants Walk, Suite 100, Tuscaloosa, AL 35406-2290 | 2006-02-17 |
| 1073963484 | Anna Crady | Audiologist | 302 Merchants Walk, Suite 100, Tuscaloosa, AL 35406-2290 | 2016-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134757735 | Susan Tingle Mills | Counselor | 1470 Northbank Parkway, Tuscaloosa, AL 35406 | 2020-03-30 |
| 1508416314 | Carehere LLC | Family Medicine | Carehere Clinic-mercedes Tuscaloosa Health and Wellness, 971 Fairfax Park, Suite B, Tuskaloosa, AL 35406 | 2019-09-13 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1891144259 | Gregory Chad Green, Od, PC | Optometrist | 1490 Northbank Parkway, Suite 120, Tuscaloosa, AL 35406 | 2016-06-07 |
| 1164767083 | First Care LLC | Clinic/Center | 1251 Mcfarland Blvd. Ne, Tuscaloosa, AL 35406 | 2012-12-04 |
| 1144520487 | Ladonna Demetrice Snider | Registered Nurse | 825 Rice Mine Road No., Tuscaloosa, AL 35406 | 2010-11-02 |
| 1699923102 | Nancy M. Tactuk Romanenko | Internal Medicine | 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 | 2008-09-09 |
| 1912042433 | Patrick Bruce Atkins | Psychiatry & Neurology | 1649 Mcfarland Boulevard North, Suite 201, Tuscaloosa, AL 35406 | 2007-02-21 |
| 1073663555 | Mark Linden Prohaska | Clinical Neuropsychologist | 100 Rice Mine Road, Suite 303, Tuscaloosa, AL 35406 | 2007-01-10 |
| 1225197155 | Jane Watkins Phd | Counselor | 150 Rice Mine Road, Suite B, Tuscalcosa, AL 35406 | 2006-12-06 |
| Find all providers in zip 35406 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558398412 | James Hodo Walburn | Otolaryngology | 1300 Mcfarland Blvd Ne, Ste 150, Tuscaloosa, AL 35406-2283 | 2006-06-27 |
| 1922059997 | Gordon Albert Shields | Otolaryngology | 302 Merchants Walk Ste 100, Tuscaloosa, AL 35406-2291 | 2006-05-15 |
| 1477528149 | Craig Michael Benoit | Otolaryngology | 302 Merchants Walk, Suite 100, Tuscaloosa, AL 35406-2290 | 2006-02-17 |
| 1407914245 | Tuscaloosa Ear Nose & Throat Center PC | Otolaryngology | 1300 Mcfarland Blvd Ne, Suite 150, Tuscaloosa, AL 35406-2252 | 2006-12-05 |
| 1679665848 | North River E.n.t., PC | Otolaryngology | 1224 Mcfarland Blvd Ne, Suite A, Tuscaloosa, AL 35406 | 2006-09-28 |
| 1063443745 | Lee Headley Loftin | Otolaryngology | 1300 Mcfarland Blvd Ne, Ste 150, Tuscaloosa, AL 35406-2283 | 2006-07-05 |
| 1225069909 | David Bruce Rosenstiel | Otolaryngology | 1300 Mcfarland Blvd Ne, Ste 150, Tuscaloosa, AL 35406-2283 | 2006-07-05 |
| 1780612564 | Carlisle Reid Stephenson IIi | Otolaryngology | 1300 Mcfarland Blvd Ne, Ste 150, Tuscaloosa, AL 35406-2283 | 2006-06-29 |
| 1124056916 | Gary Mathers Lake IIi | Otolaryngology | 1300 Mcfarland Blvd Ne, Ste 150, Tuscaloosa, AL 35406-2283 | 2006-06-29 |
| 1033147822 | James Edgar Shotts Jr. | Otolaryngology | 1300 Mcfarland Blvd Ne, Ste 150, Tuscaloosa, AL 35406-2283 | 2006-06-29 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35406 |
Please comment or provide details below to improve the information on ALABAMA EAR, NOSE & THROAT SPECIALISTS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.